YOUR INFORMATION
Full name: *
Address: *
What is your Eircode? It can be found here: https://finder.eircode.ie/#/
Phone number: *
Alternate phone number: *
Email address: *
Occupation: *
Spouse / partners name:
Spouse / partners occupation:
Are you over 18? *
THE PEOPLE IN YOUR HOME
How many adults live in your home? *
How many children live in your home? (Must list ages) *
Are the children in your home used to dogs? *
Please list the relationship you have to the people in your home. (Friends, family, house mates, etc): *
Are all members of your house hold in agreement of adopting a dog? *
Does anyone in your home suffer from allergic reactions or asthma? (If yes, please elaborate). *
Who will be the main person responsible for the dogs needs? *
RESIDENCE BACKGROUND
Do you live in a house, apartment or other? (If other, please give details) *
Please describe the area in which you live (Housing estate, town, city, county, etc): *
How long have you lived at your current address? *
Do you plan to move house in the future? (If yes, please give details) *
Are you are a home owner, renting or living in a relative or friend's house? *
If renting / living in someone else's house, what name is the lease under / who is the home owner? *
May we contact your landlord or the home owner to verify permission for having a dog? *
If yes, what is your landlord or home owner's phone number? *
Do you agree to a have a home check done? *
No Yes
ABOUT YOUR BACK GARDEN
Do you have a fenced / walled in back garden? *
Is your back garden fully secure? *
Could a dog escape from your back garden? *
What type of boundary / fencing at the back? (Wall, wooden fencing, chicken wire, etc) *
How high is the gate and fencing / boundary at the back? *
What is the approximate size of your back garden? *
Has a dog ever escaped from your back garden? *
Do you lock/secure your gates? If so with what? *
ABOUT YOUR FRONT GARDEN
Will the dog ever be in your front garden? *
Is your front garden accessible from your back garden or are they separated? *
Do you have a fenced / walled in front garden? *
Is your front garden fully secure? *
Could a dog escape from your front garden? *
What type of fencing / boundary at the front? *
How high is the gate and fence / boundary at the front? *
What is the approximate size of your front garden? *
Do you lock/secure your gates? If so with what? *
ABOUT YOUR POTENTIAL NEW DOG
I am interested in adopting a dog that fits the following profile: *
DOG FRIENDLY
KID FRIENDLY
CAT FRIENDLY
Gender: *
Size: *
Age: *
Activity / energy level: *
Purpose of dog: *
Names of dogs you may be interested in (see our homes needed album on Facebook: http://tinyurl.com/yxb7yjhq): *
Why did you choose this particular dog? *
Is this dog for you or for someone else? *
YOUR CURRENT AND PREVIOUS PETS
Have you ever been in contact with or been home checked by another rescue? If so, please give details: *
Have you had a dog in recent years? If so please give details: *
Do you have any pets? If so what are they? *
What gender are they? *
What age are they? *
Are they dog friendly? *
Are they neutered? If not, why? *
Are they vaccinated? If not, why? *
Are your pets up-to-date on worm treatments and flea treatments? *
Have you ever bred or sold a dog(s)? If so, please give details: *
Have you ever had to give a dog away or surrender to the pound? If so, please give details: *
Have you ever been convicted of abuse or neglect of an animal? *
YOU, AS A CARA RESCUE DOG OWNER
Tell us a little about your lifestyle so that we may help pair you up with the right dog. Do you jog, have a lot of social activities at your house, couch potatoes, etc? *
Do you already have a veterinarian? If yes, who? *
Where will the dog spend most of it's time? *
Where will the dog sleep at night? *
How many hours will the dog spend home alone each day? *
When you are out of the house, where will the dog stay? *
What areas of your home will the dog be allowed access to? *
If you go away, where will the dog stay? *
Do you have any holidays / trips planned or booked over the next few months? *
What kind of exercise will you be able to give the dog? *
Under what circumstances would you let a dog off lead? *
How would you handle destructive behavior? *
Are you willing to take responsibility of a dog for the next 10-20 years? *
If a new child is introduced into your home, would you still be able to care for the dog? *
Under what circumstances would you chain / tie up a dog? *
Under what circumstances would you surrender / rehome a dog? *
Please attach any other relevant information you may have:
Please sign - I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. I am authorizing you to keep the above information on file and understand that it may be shared with the volunteer that will do my home check and the foster parent of the dog I'm interested in adopting. I understand that I must inform Cara Rescue Dogs by email at caraadoptions@hotmail.com if I do not want this data to be retained, in the event I do not adopt a dog. I understand that I may need to travel to the foster home to adopt my dog. I am aware that Cara Rescue Dogs cannot guarantee the health and temperament of the animal after adoption: *
